Individual provider Active NPI

Trinh Nguyen

  • Optometrist
  • Mansfield, TX
National Provider Identifier
1114700069
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10943 Issued in TX
Practice address
930 N Walnut Creek Dr
Mansfield, TX 76063-1596
Phone
(817) 473-1956
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10943 TX Primary

Addresses

Primary practice location

930 N Walnut Creek Dr
Mansfield, TX 76063-1596

Mailing address

709 W Embercrest Dr
Arlington, TX 76017-6066

Other practice location 1

9500 Clifford St
Fort Worth, TX 76108-4403
Phone (817) 367-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250102003177 TX Practitioner - Optometry 0244767200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of the Incarnate Word School of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Care of Texas PLLCGroup PAC ID 9739340035, 3 clinicians

Practice addresses (Care Compare)

930 N Walnut Creek Dr
Suite 100
Mansfield, TX 76063-8015
Phone (817) 473-1954

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10943TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care of Texas PLLC Optometrist CurrentSince Oct 27, 2024 Accepting new patients

Locations

9500 Clifford St
Fort Worth, TX 76108
Phone (817) 367-0818

930 N Walnut Creek Dr
Ste 100
Mansfield, TX 76063
Phone (817) 473-1956

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1114700069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W EMBERCREST DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N WALNUT CREEK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760631596",
            "telephone_number": "817-473-1956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Clifford St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761084403",
            "country_code": "US",
            "telephone_number": "817-367-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRINH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.